CHELSEA MODESTO (NPI# 1376972653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376972653 |
| Entity Type | Individual |
| Full Name | CHELSEA MODESTO |
| Practice Address |
1901 Hamilton St Suite 300 Allentown PA 18104-6459 |
| Practice Telephone | 6106287920 |
| Practice Fax Number | 6108212853 |
| Mailing Telephone | 6106287920 |
| Mailing Fax Number | 6108212853 |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2019-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA056423 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1901 HAMILTON ST SUITE 300 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18104-6459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497733406 | Victor J Powers | Specialist | 1901 Hamilton St, Suite 300, Allentown, PA 18104-6459 | 2006-01-09 |
| 1043855901 | Matthew Kovalchick | Physical Therapist | 1901 Hamilton St, Allentown, PA 18104-6459 | 2019-11-14 |
| 1184078925 | Erin Donohue | Physical Therapist | 1901 Hamilton St, Allentown, PA 18104-6459 | 2016-04-18 |
| 1376909515 | Etowah Dialysis LLC | Clinic/Center | 1901 Hamilton St, Ste 200, Allentown, PA 18104-6460 | 2016-01-04 |
| 1578999777 | Vanessa M. Troyer | Physician Assistant | 1901 Hamilton St, Suite 300, Allentown, PA 18104-6459 | 2013-09-19 |
| 1790111060 | Etowah Dialysis LLC | Clinic/Center | 1901 Hamilton St, Ste 100, Allentown, PA 18104-6460 | 2013-09-18 |
| 1104197839 | Swomya Prakash Bal | Internal Medicine | 1901 Hamilton St, Suite 300, Allentown, PA 18104-6459 | 2012-01-26 |
| 1336423318 | Jesse Buggey | Physical Therapist | 1901 Hamilton St, Allentown, PA 18104-6459 | 2011-10-07 |
| 1033434436 | Dhaval Sureja | Internal Medicine | 1901 Hamilton St, Suite 300, Allentown, PA 18104-6459 | 2010-03-30 |
| 1275864431 | Satyam Arora | Internal Medicine | 1901 Hamilton St, Suite 300, Allentown, PA 18104-6459 | 2010-01-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134191 | The Calm Space LLC | Social Worker | 2047 Pa-309, Allentown, PA 18104 | 2020-08-13 |
| 1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
| 1093360513 | Meghan Paul | Pharmacist | 1727 W Liberty Street, Unit 2, Allentown, PA 18104 | 2019-08-02 |
| 1750948154 | Patricia Terreros | Counselor | 3057 College Heights Blvd Suite Ll, Allentown, PA 18104 | 2019-05-22 |
| 1023593084 | Hearvana | Clinic/Center | 2200 Wets Hamilton Street Suite 311, Allentown, PA 18104 | 2018-09-26 |
| 1700397098 | Amanda L Sellers | Psychologist | 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 | 2017-10-13 |
| 1689104457 | Craig Ryan Miller | Physical Therapist | 1651 N Cedar Crest Blvd Ste 100, Allentown, PA 18104 | 2017-06-14 |
| 1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
| 1750824264 | William Edward Thawley | Pharmacist | 322 N 7th St., Allentown, PA 18104 | 2016-12-01 |
| 1609222371 | Extremity Mri Inc | Radiologic Technologist | 3131 College Heights Blvd Ste 400, Allentown, PA 18104 | 2016-05-11 |
| Find all providers in zip 18104 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982252185 | Amanda Jane Gower | Physician Assistant | 1605 N Cedar Crest Blvd Ste 110, Allentown, PA 18104-2351 | 2019-08-30 |
| 1104306117 | Sean Duffy | Physician Assistant | 1667 Victoria Cir, Allentown, PA 18103-6474 | 2018-08-19 |
| 1811477300 | Harley Elizabeth Williams | Physician Assistant | 1240 S Cedar Crest Blvd Ste 215, Allentown, PA 18103-6369 | 2018-08-15 |
| 1932621356 | Lauren Dian Demberger | Physician Assistant | 1240 S Cedar Crest Blvd Ste 305, Allentown, PA 18103-6370 | 2017-07-07 |
| 1255773107 | Jacqueline Mary Turner | Physician Assistant | 401 N 17th St Ste 304, Allentown, PA 18104-5051 | 2013-07-20 |
| 1720364110 | Sarah Elizabeth Petruno | Physician Assistant | 401 N 17th St Ste 307, Allentown, PA 18104-5051 | 2011-10-29 |
| 1467755546 | Seth Vaughn | Physician Assistant | 4825 Tilghman Street, Allentown, PA 18104 | 2010-12-13 |
| 1891028122 | Jessica D Zehr | Physician Assistant | 1501 North Cedar Crest Blvd, Allentown, PA 18104-2309 | 2009-09-18 |
| 1275773723 | Samuel James Hertig | Physician Assistant | 1250 S Cedar Crest Blvd Ste 400, Allentown, PA 18103-6224 | 2009-02-24 |
| 1497805022 | Wendi A Hontz | Physician Assistant | 1575 Pond Rd Ste 203, Allentown, PA 18104 | 2007-01-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.